How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $371.54 Median $707.95 Typical High $1,348.96 | Facility | None | $371.54 | $707.95 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $371.54 Typical High $407.38 | Professional | None | $354.81 | $371.54 | $407.38 |
BCBS Illinois Setting Facility Modifier None Typical Low $537.03 Median $794.33 Typical High $5,623.41 | Facility | None | $537.03 | $794.33 | $5,623.41 |
BCBS Illinois Setting Professional Modifier None Typical Low $3.47 Median $309.03 Typical High $346.74 | Professional | None | $3.47 | $309.03 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $933.25 Typical High $1,862.09 | Facility | None | $501.19 | $933.25 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $549.54 Typical High $741.31 | Professional | None | $229.09 | $549.54 | $741.31 |
Hally Health Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $1,122.02 | Professional | None | $446.68 | $676.08 | $1,122.02 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
United Setting Facility Modifier None Typical Low $446.68 Median $537.03 Typical High $562.34 | Facility | None | $446.68 | $537.03 | $562.34 |
United Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $446.68 | Professional | None | $190.55 | $269.15 | $446.68 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $186.21 Median $323.59 Typical High $676.08 | Facility | 52 · Reduced service | $186.21 | $323.59 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $74.13 Median $131.83 Typical High $275.42 | Facility | 53 · Discontinued | $74.13 | $131.83 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $186.21 Typical High $204.17 | Professional | 52 · Reduced service | $181.97 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $74.13 Typical High $81.28 | Professional | 53 · Discontinued | $72.44 | $74.13 | $81.28 |
Where Illinois sits
The same service costs 3.7 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Illinois· 42nd of 51
$347
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.